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NPI Code Detail

MEDICARE: DR. AMANDA SUE CAPESTANY

MEDICARE:  DR. AMANDA SUE CAPESTANY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03233614OH

General Provider Information

NPI Number : 1528613536
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA SUE CAPESTANY
Provider Business Mailing Address
First Line : 4000 RED BANK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-3416
Country : US
Telephone Number : 513-351-9710
Fax Number :
Provider Business Practice Location Address
First Line : 4000 RED BANK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-3416
Country : US
Telephone Number : 513-351-9710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2019
Last Update Date : 08/06/2019

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Directions to “ DR. AMANDA SUE CAPESTANY ” Practice Location

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